DR. JEFFREY KOENIGBAUER (NPI# 1346469939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346469939 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY KOENIGBAUER |
| Credential | D.C. |
| Practice Address |
22125 Greater Mack Ave Saint Clair Shores MI 48080-2331 |
| Practice Telephone | 5864981500 |
| Practice Fax Number | 5864981501 |
| Mailing Telephone | 5864981500 |
| Mailing Fax Number | 5864981501 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | MI | Chiropractic Providers |
| Street Address |
22125 GREATER MACK AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154958536 | Ashley Budnik | Chiropractor | 23215 Nine Mack Dr, Saint Clair Shores, MI 48080-1969 | 2020-03-25 |
| 1134324809 | James L Osiwala | Chiropractor | 32004 Harper Ave, Saint Clair Shores, MI 48082-1419 | 2007-06-20 |
| 1477607679 | Bryan A. Baetens, D.c., P.C. | Chiropractor | 26000 Harper Avenue, Suite A, Saint Clair Shores, MI 48081 | 2007-01-23 |
| 1629143854 | Gerald D Klida | Chiropractor | 21617 East Nine Mile Rd, Saint Clair Shores, MI 48080-1811 | 2006-11-22 |
| 1366529422 | John Joseph Migliazzo | Chiropractor | 28404 Harper Ave, Saint Clair Shores, MI 48081-1607 | 2006-11-01 |
| 1982719506 | Steven V Siu | Chiropractor | 27889 Harper Ave, Saint Clair Shores, MI 48081-1542 | 2006-08-21 |
| 1588678353 | Timothy John Murray | Chiropractor | 31388 Harper Ave, Saint Clair Shores, MI 48082-2450 | 2006-07-28 |
| 1386675957 | Bryan Alan Baetens | Chiropractor | 26000 Harper Avenue Suite A, Saint Clair Shores, MI 48081 | 2006-07-05 |
| 1750326005 | Michael Charles Johr | Chiropractor | 27200 Harper Ave, Suite B, Saint Clair Shores, MI 48081-1909 | 2006-06-19 |
| 1306889209 | James F Kennedy | Chiropractor | 21321 Harper Ave, Saint Clair Shores, MI 48080-2224 | 2006-06-14 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
Please comment or provide details below to improve the information on DR. JEFFREY KOENIGBAUER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.